Individual
DIANA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5060 LOGAN AVE, SAN DIEGO, CA 92113-3014
(310) 817-1898
Mailing address
9819 FIELDTHORN ST, SAN DIEGO, CA 92127-4413
(310) 817-1898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63098
CA
Other
Enumeration date
01/04/2014
Last updated
07/21/2014
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